Health and Wellness - August 2022

August Special Section

2 | August 2022 | AppenMedia.com

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“How do you know how deep to go?”

Brought to you by – Brent Taylor, MD, Premiere Dermatology and Mohs Surgery of Atlanta One of the most common questions that patients ask before Mohs surgery is how the surgeon knows the depth to cut. Mohs surgery is a method for curing skin cancer that involves removing tissue in layers.

But how does the Mohs surgeon know how much to remove each time? The answer to that question has layers of its own.

Mohs surgery is performed on many different locations on the body, so the answer to how deep to cut varies by location.

If a cancer is the size of a plum and on someone’s back, then the Mohs surgeon’s first stage will be cut as a relatively thick layer. In contrast, if the skin cancer is on the edge of someone’s eyelid, then the Mohs surgeon will cut a very thin layer of tissue – often only a millimeter thick on each side of the tumor – in order to preserve as much healthy eyelid as possible.

The details on the biopsy report influence the depth of cancer resection. Some basal cell carcinomas are characterized as “superficial type.” These cancers usually grow on the surface like moss on a tree, and deep cutting is often unnecessary.

For other tumors, the pathologist may say the “deep margin” is involved. This means that the cancer went to the bottom of the biopsy. The Mohs surgeon cuts deeper on the first layer to ensure a level below the biopsy’s depth.

Sometimes, the surgeon can even feel the likely thickness of a cancer with

(glove-covered) bare hands. Some tumors feel like a thick disk that is growing wide, not deep. Others feel like icebergs with abundant tumor lurking below.

One of the most important factors affecting second and subsequent layers is the amount of cancer seen under the microscope. If a tiny spot of cancer is left, then only a small amount of additional tissue removal may be necessary. In other cases, strands of cancer are diffusely visible under the microscope, and the surgeon knows that a substantial next cut is necessary to make progress.

Sometimes, when patients ask me how I know how deep to cut, I think that what they are asking is not what was discussed above but rather how I know how deep not to cut. How does the doctor know where the critical nerves or arteries are? The answer to that question is all the years of training focused on anatomy and experience gained during residency, fellowship and in practice. Mohs surgeons are expected to learn what layers of tissue are present in different locations and where the “danger zones” of critical nerves or blood vessels are. When a Mohs surgeon anticipates that an important structure is at risk, the Mohs surgeon will generally discuss this with the patient in advance of cutting and give the patient the opportunity to weigh the risks and benefits of proceeding.

We hope that this article was helpful and interesting. But a word of caution: please remember that this discussion of Mohs surgery is not exhaustive. Do not try this at home!

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Reading with Soft Contact Lenses Brought to you by: Johns Creek Research Clinic

Whether you have successfully worn glasses or contact lenses for years or never needed vision correction, most people over the age of 40 will begin to notice a gradual decline in their near reading vision.

This gradual inability to focus on nearby objects is known as Presbyopia. Although relying on reading glasses is a commonplace solution, for many entering their presbyopic years, the dependence on reading glasses can be discouraging and frustrating.

One approach to achieving functional near vision without glasses is through the use

of soft contact lenses. When handled properly, soft contact lenses are a safe and viable choice for vision correction.

The following are the most common soft contact lens options for presbyopic vision correction: Multifocal Soft Contact Lenses Multifocal soft contact lenses have both distance and near zones designed within a single contact lens. Unlike traditional bifocal or progressive glasses, the optics for both distance and near are presented in front of the pupil simultaneously

so there is no need to look through a distinct section of the contact lens. Therefore, there is a smooth transition between different viewing distances with multifocal soft contact lenses.

for near vision. This method is very effective for younger presbyopes. Monovision contact lenses may involve an adjustment period as your brain gradually adjusts to this optical setup.

Monovision Soft Contact Lenses This option utilizes traditional single vision contact lenses that correct each eye for a different functional vision task. Typically, your dominant eye utilizes a prescription power for distance vision, and your non-dominant eye uses a prescription power

In combination with your individual lifestyle demands and eye health history, there are many factors to consider when choosing a contact lens option. Consult your personal eye doctor to determine the most appropriate treatment for your needs.

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Thank You for Voting US Best Dentist in North Atlanta for 7 Years!

WINNER 2015

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2016

2018

Best Of Best Of Best Of Best Of WINNER WINNER North North North North Atlanta2019 Atlanta2020 Atlanta2021 Atlanta Best Of Best Of Best Of North North North Atlanta Atlanta Atlanta Presented By

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What causes yellow, stained teeth?

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Dr. David Remaley

Brought to you by – Roswell Dental Care Have you always dreamed of a kilowatt smile? Or just want to lighten up your darkened or yellowed teeth? Tooth whitening, or tooth bleaching, is a fast and easy procedure that can whiten and brighten your natural tooth color, for an average of 8 shades lighter.

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2017

Get a GLO-ing smile

Dr. Destinee Hood

Some of the toughest stains come from various foods and beverages, such as coffee, soda, wine, and smoking. Over time, these stains can infiltrate the enamel and get packed into the inner layer, called dentin, causing yellowing. Other stains can be genetic and still others can be from a chemical interruption during tooth development, such as too much consumption of fluoride or from the medication Tetracycline.

How does whitening work?

Dedicated to providing exceptional dentistry and creating beautiful, healthy smiles for over 30 years.

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Whitening agents approved by the FDA contain hydrogen peroxide.

Hydrogen peroxide has a whitening effect because it can pass easily into the tooth and break down complex molecules. At Roswell Dental Care, we utilize the GLO whitening system, which has a mouthpiece to apply gentle heat and a blue LED light to the teeth. When heat is applied to a peroxide gel on the teeth, it increases the speed with which that gel does its work, creating brighter, whiter teeth in less time.

Is tooth whitening safe?

Yes. The American Dental Association and the FDA have extensive clinical studies proving its safety, under the supervision of a dentist. Whitening is considered the safest cosmetic dental procedure by most dental professionals. However, whitening is not recommended for pregnant or lactating women or children under 13 years old.

What are the side effects?

The most common side effect is temporary tooth sensitivity. This is due to the stains being broken down and bubbled out (imagine the classic science fair volcano experiment).

This goes away within a few days after treatment and there is no long-term harm to the nerve of the tooth.

What is the difference between athome and in-office tooth whiteners?

The main difference is the time it

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takes to whiten your teeth, which is based on the concentration of hydrogen peroxide. At-home or over-thecounter whiteners can be anywhere from 7 percent to 10 percent. We use a 30% formula during an in-office treatment, so there’s a much better chance that your teeth will whiten even the toughest stains.

The GLO whitening system has a patented dual-whitening experience, providing an in-office teeth whitening procedure, plus an easy-to-use takehome device for maintenance.

How long does tooth whitening last?

After your whitening appointment, avoid dark foods and drinks like marinara sauce, red wine, or blueberries.

Whitening your teeth and keeping your smile bright is a little like coloring your

See GLO-ING, Page 5

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GLO-ing: Continued from Page 4 hair: maintaining your results requires maintenance. You will be given instructions for care before and after your treatment. For touch up care, you will be provided with take-home vials, so you can recharge your pearly whites before a dinner party or event.

Roswell Dental Care is nominated to win “BEST OF THE BEST” Dental Practice in North Atlanta by Appen Newspaper for the 8th year. We’ve been serving patients in the area over 40 years.

As your cosmetic dentists, Drs. Hood and Remaley give your comfort and trust top priority. We assure you feel confident in any dental solution before beginning treatment. For enhanced comfort, we offer FREE conscious sedation, including nitrous oxide. Rest assured that your experience will be positive, relaxing, and rewarding. Take the first step in feeling great about your smile. Schedule your COMPLIMENTARY smile makeover consultation by calling (470) 288-1152.

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Specialist in Integrative Oncology Cancer Treatments Including: Chemotherapy Immunotherapy Nutrition Supplementation

Rethinking Chemotherapy Brought to you by – Jonathan Stegall, MD Chemotherapy side effects such as hair loss, nausea, and vomiting are the result of the high doses of chemotherapy typically administered. This method of administration is called maximum tolerated dose, and typically requires between 1-3 weeks of recovery time before another dose can be given. Such breaks are necessary to reduce (but not eliminate) the risk of more significant side effects.

However, I believe there is a better way, STEGALL which is to administer chemotherapy more often using lower doses. This method is known as fractionated metronomic chemotherapy. It allows for more frequent “hits” to the cancer cells while improving the safety profile considerably. Research studies support these findings.

I have been administering chemotherapy in my oncology practice this way for over seven years, and have been amazed by the results. The risk of side effects, while certainly not eliminated, is signifi-

Jonathan Stegall, MD WINNER 2016

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2016, 2018, 2019, 2020, 2021

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cantly lower. As a result, patient quality of life is much better, all while still routinely seeing a good clinical response to treatment. This integrative approach also includes a focus on supportive therapies such as good nutrition, supplementation,

Feel good about your teeth.

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and stress reduction, to name a few.

For more information about this treatment approach, as well as many other tools in the anti-cancer toolbox, please check out my new online course, Cancer Secrets University, at cancersecrets.com.

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IV Therapy for COVID-19 Recovery: What You Should Know Brought to you by – Hydralive

muscle cramping or pain compounded by dehydration.

Your immune system has gone through the wringer fighting COVID-19, and the amount of energy and stress it takes to fight through can be harsh. Much like a serious flu or other long-term sickness, symptoms can linger for months afterward. Depending on your age and health, these symptoms can feel like they will go on forever.

And while many impacted by COVID-19 have experienced mild illness, and have been able to take care of themselves at home, IV therapy can address dehydration and vitamin deficiencies. IV therapy may also provide some relief from uncomfortable symptoms associated with long-haul sufferers such as chronic fatigue and pain.

IV therapy may provide relief from lingering symptoms in a number of ways.

Vitamin Deficiency

Dehydration

IV therapy can help replenish fluids, nutrients and electrolytes your body needs to function properly while combating things like nausea or vomiting because of how quickly these treatments take effect. IV treatments help rehydrate both muscle cells as well as skin tissue cells, making it effective for relieving post-COVID

For most people affected by COVID-19 who are not able to consume full meals on a regular basis, IV therapy can help replenish vitamin levels. IV therapy cocktails can include Vitamin C, Vitamin D and other add-ons you desire. These treatments help replace the vitamins your body needs to function properly.

A Wellness Reboot for Your Body

Your body, even when not sick, requires more care than you may think. You need sunlight, vitamins, nutrients, water, exercise and much more. By giving your body some of these things directly into your bloodstream via an IV treatment, you could potentially speed up your recovery process from many illnesses. When the virus takes away your health and wellness, an IV therapy regimen may help you build it back.

It is important to remember there is no cure, easy or guaranteed way to make you totally pain and stress free. There are ways, however, to help put your body and mind in a better position. Relief is just a phone call away. Please give us a call at (470) 359-4815 or visit us at 12635 Crabapple Rd, STE 140 in Milton today!

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